Tuesday, May 8, 2012

Treatment of STE Myocardial infarction (STEMI)

Aspirin (or if allergic, clopidrogel or prasugrel)

next

Angioplasty (door to balloon time 90mins) or if not available, thrombolytics (door to needle time: 30mins)
  • Angioplasty (PCI) is preferable to thrombolytics however in the absence of PCI, give thrombolytics preferably within 30mins of infarction, but can still be given up to  12hrs post MI
then

Beta blockers (if contraindicated then use CCBs)
ACEi/ARB (especially with ejection fraction <40%)
Oxygen
Statins (especially with LDL >100mg/dl)



WARFARIN IS USELESS IN MI TREATMENT
Heparin can be administered for a short time post angioplasty to prevent restenosing 

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